title: Massive calcified tricuspid valve endocarditis in a patient with dual lumen tunneled venous catheter.
abstract: Infection is the most common cause of death in hemodialysis patients after cardiovascular complications. The long-term use of venous catheters for dialysis elevates the risk. Valvular calcification is of special concern in developing infective endocarditis and is often found in chronic dialysis patients. The right-sided endocarditis is rarely reported in the literature and may be overseen until the development of further complications. In our case tricuspid valve endocarditis, with severe insufficiency and stenosis due to a calcified laminar plate was found in a 57-year-old female patient undergoing dialysis due to end-stage renal disease. The calcification aroused from the tip of the dual lumen tunneled venous catheter used for routine dialysis. We replaced the tricuspid valve with mechanical valve prosthesis and reconstructed the right atrium.
authors.affiliation: Department of Cardiac Surgery, Heart Center - University of Heidelberg, Heidelberg, Germany.
authors.forename: Mina
authors.initials: M
authors.lastname: Farag
authors.forename: Alexander
authors.initials: A
authors.lastname: Weymann
authors.forename: Bastian
authors.initials: B
authors.lastname: Schmack
authors.forename: Helmut
authors.initials: H
authors.lastname: Rauch
authors.forename: Matthias
authors.initials: M
authors.lastname: Karck
authors.forename: Gábor
authors.initials: G
authors.lastname: Szabó
mesh_terms: D002114:Calcinosis / Q000601:surgery*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D004696:Endocarditis / Q000601:surgery*; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D006435:Renal Dialysis; D014261:Tricuspid Valve / Q000601:surgery*